DD waiver
I/DD Definition — Intellectual / Developmental Disability
- Attributable to a mental or physical impairment, or a combination of mental and physical impairments, other than a sole diagnosis of mental illness.
- Manifested before the person reaches 22 years of age.
- Likely to continue indefinitely.
- Results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, or economic self-sufficiency.
- Reflects the person’s need for a combination and sequence of special interdisciplinary or generic services, individualized supports, or other forms of assistance that are of lifelong or extended duration and are 2 of 3 individually planned and coordinated.
What is the DD Waiver?
The DD Waiver provides home and community-based services for individuals 6 years of age and older who need significant support due to a developmental disability (such as autism, cerebral palsy, or spina bifida) but who do not have a diagnosis of intellectual disability.
The Developmental Disabilities (DD) Waiver in Virginia is designed to provide a range of support services to individuals with developmental disabilities. Community Services Boards (CSBs) throughout Virginia administer these Waivers, which are waitlisted. Here are key aspects of the DD Waiver:
Eligibility. The DD Waiver is available to individuals with intellectual disabilities or developmental disabilities who meet specific eligibility criteria, which include functional and financial assessments.
Services Offered. The waiver provides various services aimed at promoting independence, community integration, and quality of life for individuals with developmental disabilities. Services may include:
- Case management
- Personal assistance
- Respite care
- Residential support
- Day support services
- Supported employment
- Specialized medical equipment and supplies
Community Living
One primary focus of the DD Waiver is to help individuals live in community settings rather than institutions. This aligns with the broader goal of promoting inclusion and providing support within a person’s home environment.
Screening Process
Contact your local Community Services Board (CSB) to schedule an intake appointment. Find your local CSB https://vacsb.org/csb-bha-directory/
A case manager will screen the person using the assessment form called the Virginia ID/DD Eligibility Survey (VIDES) that will measure the following:
- Functional capacity: the level of support needed for ADLs and IADLs.
- Meet Virginia’s definition of a developmental disability.
Individualized Support Plans
Participants in the DD Waiver work with case managers and service providers (such as Toddlers To Grandparents) to develop individualized service plans that address their unique needs, preferences, and goals
Funding
The Developmental Disabilities (DD) Waiver provides funding for essential supports not covered by traditional Medicaid. It helps individuals live independently in their homes by covering services like personal care, respite, and therapies tailored to their unique needs.
Wait List
The Developmental Disabilities (DD) Waivers are coordinated through your local Community Services Board (CSB). Because funding for these waivers is limited, waivers are assigned based on the urgency of each individual’s need for support rather than the order in which applications are received. This means that the waiting list is prioritized by need and is not chronological.
Individuals who meet eligibility criteria are placed on a needs-based waiting list, ensuring that those with the most critical needs receive services as soon as possible. While waiting for waiver services, individuals remain eligible to apply for an Individualized Family Service Plan (IFSP), which can provide early intervention supports and services.
To find your local CSB and begin the application process, visit the Virginia Department of Behavioral Health and Developmental Services (DBHDS) CSB locator:
Find Your Local CSB
You can also explore additional information about the DD Waivers and supports on the DBHDS website here:
DD Waivers and Services – DBHDS
Things to note:
- Diagnosis: A documented diagnosis of a developmental disability or intellectual disability is required.
- While CCC+ Waivers require some medical or nursing needs, DD Waivers do not.
- While on the DD Waiver waiting list, you may still access services through the CCC+ Waiver or EPSDT.
- Medicaid eligibility is not required to apply for a screening or be added to the waitlist but is necessary once assigned to a waiver.
- After completing the initial VIDES assessment, regularly contact your assigned case manager to schedule annual meetings and keep the VIDES updated.
- Waiver slots are typically assigned at the start of the Commonwealth’s fiscal year (July).
- A limited number of emergency slots may be assigned throughout the fiscal year (July–June).
Meet the Kirkland Family
The Kirkland family is truly one-of-a-kind, blessed with six wonderful children—four of whom have been specially gifted with Down syndrome. Their home is filled with love, laughter, and incredible strength as they celebrate the unique joys and challenges that come with each child. The Kirklands embody the true meaning of family, embracing diversity with open hearts and showing the world how love knows no limits.
DD Waiver resources
Meet Tatiana, Age 29
Tatiana, affectionately known as “Tati” by her friends and family, is a vibrant 29-year-old woman with Down syndrome who lights up every room she enters. Her infectious smile and warm spirit instantly draw people in, making everyone around her feel welcomed and loved. Tati’s joyful nature and positive attitude inspire those who know her, showing that with kindness and determination, life can be full of happiness and meaningful connections.